FEATURES OF THE TECHNOLOGICAL COMPONENT OF THE IVANOVO REGION HEALTH SYSTEM POLICY IN MALIGNANT TUMORS EARLY DIAGNOSIS

Purpose of the stydy. To study the Features of the technological component of the Ivanovo region health system policy in malignant tumors early diagnosis

Materials and methods. The base of the research is the Ivanovo Regional Oncology Dispensery, Department of Health of the Ivanovo Region. Methods: sociological, expert assessment, analytical, documentary. The assessment of the technological component of oncological service policy was carried out in the three areas: a) an assessment of the quality of oncological assistance using the method of correspondence examination of completed cases of assistance with filling out expert assessment cards (600 cases of assistance); b) an assessment of patients' satisfaction with the help provided by the method of a sociological questionnaire survey (600 patients); c) an assessment of the apparent patients' dissatisfaction with the help provided based on the analysis of justified complaints (30 people).

Results. The expertize of oncological medical services provided showed that there is a decrease in a number of its properties in modern conditions. The first ranking places in terms of the frequency of violations belong to the following properties of medical services quality: timeliness; adequacy; continuity; performance, availability. In the structure of medical and organizational defects in the quality of care, according to the results of expert evaluation, the leading part of them- 70.5% — is occupied by diagnostic defects (non-compliance by the medical personnel with the oncological screening standard, non-use of instrumental and laboratory research methods).

Conclusion. The policy of oncological care quality has signs of decrease (the number of diagnostic and medical-organi­zational defects averages 1.7 for each case of diagnosed cancer), which leads to advanced cases of oncopathology. The results of the study showed that the current system of oncological care in modern conditions is not sufficiently effective and requires improvement, including by increasing the doctors' level of cancer alertness, increasing the efficiency of the regional cancer pathology commissions.

1. Kozlov V. A., Polyakov B. A., Mushnikov D. L. Principy izucheniya, ocenki, formirovaniya i razvitiya politiki zdravoohraneniya v chasti onkologicheskoj pomoshchi naseleniyu na regional'nom urovne [Principles study, evaluation, formation and development of health policy in the part of oncology aid rendered to population at the regional level]. Ivanovo, 2017, 320 p. (In Russian).

2. Filatov VF, Shchepin VO, Systerova AA. Politika zdravoohraneniya: voprosy teorii i praktiki [Health policy: issues of theory and practice]. Edited by O. P. Shchepina. Мoscow, 2007, 276 p. (In Rus¬sian).

3. Raskina EA, Rylyova UM, Lavlinskaya LI, CHernyh EA, Lavlinskaya TA. Priorities of the Oncology service to improve the quality of medical care for women with breast cancer in the Voronezh region. Molodezhnyj Innovacionnyj Vestnik. 2018;7 (S1):276-7. (In Russian).

4. Kiku PF, Alekseeva GN, Izmaylova OA, Iudin SV, Iudin SS, Moreva VG, Sukhova AV. The model of organization of oncologic care of population of region. Health Care of the Russian Federation. 2017;61 (6):284-91. DOI: 10.18821/0044-197Х-2017-61-6-284- 291 (In Russian).

5. Kaydarova DR, Shatkovskaya OV, Chingisova ZhK, Adil- bay DG. Progress made by the coordinating council on the implementation of the integrated model of rendering medical care for oncological diseases in 2016. The Oncology and Radiology of Kazakhstan. 2017;2 (44):4-10. (In Russian).

6. Nechaeva OB, Mikhailova YuV, Chukhrienko IYu. Epidemiological situation in case of cancer in Russia. Medical Alphabet. 2018;2,31 (368):54-60. (In Russian).

7. Naumov IA, Garelik TM. Condition of cervical cancer primary morbidity as a factor, which determine forecast for reproductive health of patients. International Journal of Applied and Fundamental Research. 2018;5-1:119-23. (In Russian).

8. Sidorov SV, Bravve YuI, Chernus NY. The legal aspects of reproductive function of breast cancer patients. Siberian Journal of Oncology. 2018;17 (3):72-6. DOI: 10.21294/1814-4861-2018- 17-3-72-76 (In Russian).

9. Chissov VI, Starinskij VV, Petrova GV. Malignant neoplasm in Russia in 2015 (morbidity and mortality). Мoscow: P. Hertsen Moscow Oncology Research Institute; 2016, 232 с. (In Russian).

10. Runciman WB, Edmonds MJ, Pradhan M. Setting priorities for patient safety. Qual Saf Health Care. 2002 Sep;11 (3):224-9. DOI: 10.1136/qhc.11.3.224

11. Sheikh A, Panesar SS, Larizgoitia I, Bates DW, Donaldson LJ. Safer primary care for all: a global imperative. Lancet Glob Health. 2013 Oct;1 (4): e182-3. DOI: 10.1016/S2214-109X (13)70030-5

12. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001 Mar 3;322 (7285):517-9. DOI: 10.1136/bmj.322.7285.517

13. Wachter RM, Pronovost P, Shekelle P. Strategies to improve patient safety: the evidence base matures. Ann Intern Med. 2013 Mar 5;158 (5 Pt 1):350-2. DOI: 10.7326/0003-4819-158- 5-201303050-00010

14. Woloshynowych M, Rogers S, Taylor-Adams S, Vincent C. The investigation and analysis of critical incidents and adverse events in healthcare. Health Technol Assess. 2005 May;9 (19):1-143, iii.

15. Taranov AM, Vasilieva TP, Chumakov AS, Mushnikov DL, et al. A differentiated approach to the examination of the quality of medical services (for example, restorative treatment). Methodical recommendations. Moscow, 2004, 320 p. (In Russian).